Department Community Medicine and Behavioural Sciences, Faculty of Medicine, Kuwait University, Box 24923, Safat 13110, Kuwait.
Quality and Accreditation Directorate, Ministry of Health, Box 5, State 13001, Kuwait.
Nutrients. 2018 Oct 17;10(10):1525. doi: 10.3390/nu10101525.
Few studies have investigated the association between Acne vulgaris (AV) and vitamin D level. In this study we aimed to investigate the association between 25-hydroxyvitamin D (25-OH-VitD) level and AV in a country with plenty of sunshine. A cross-sectional study was conducted on 714 adolescents who were randomly selected from public schools using multistage cluster random sampling with probability proportional to size. 25-OH-VitD levels were measured using liquid chromatography-tandem mass spectrometry (LC-MS/MS). The Global Acne Grading System (GAGS) was used to assess the severity of AV. Data on potential confounders were collected from the parents through a self-administered questionnaire, and from the adolescents using a face-to-face interview. Of 714 participants, 351 (41.16%) were males. The mean (standard deviation (SD)) age was 12.28 (0.81) years. AV was observed in 479 (67.1%) adolescents. There was no significant association between 25-OH-VitD level and clinically assessed AV before or after adjusting for potential confounders. This was consistent whether 25-OH-VitD was fitted as a continuous variable or categorized using acceptable cutoff points or tertiles. In this study vitamin D status was not associated with AV, therefore our data do not support vitamin D supplementation either to treat or to prevent AV.
鲜有研究调查寻常痤疮(AV)与维生素 D 水平之间的关联。本研究旨在调查在阳光充足的国家中 25-羟维生素 D(25-OH-VitD)水平与 AV 之间的关联。采用多阶段整群随机抽样,按比例概率大小对 714 名来自公立学校的青少年进行了横断面研究。使用液相色谱-串联质谱法(LC-MS/MS)测量 25-OH-VitD 水平。采用全球痤疮分级系统(GAGS)评估 AV 的严重程度。通过家长自填问卷和青少年面对面访谈收集潜在混杂因素的数据。714 名参与者中,男性 351 名(41.16%)。平均(标准差(SD))年龄为 12.28(0.81)岁。479 名(67.1%)青少年患有 AV。在调整潜在混杂因素前后,25-OH-VitD 水平与临床评估的 AV 之间均无显著关联。无论 25-OH-VitD 是否拟合为连续变量,或采用可接受的截断值或三分位数进行分类,结果均一致。本研究中维生素 D 状况与 AV 无关,因此我们的数据不支持维生素 D 补充剂用于治疗或预防 AV。